Individual
MISS JAMES R ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 W KINGSTON SPRINGS RD STE 104, KINGSTON SPRINGS, TN 37082-9121
(615) 952-2011
(615) 952-5216
Mailing address
111 W KINGSTON SPRINGS RD STE 104, KINGSTON SPRINGS, TN 37082-9121
(615) 952-2011
(615) 952-5216
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD015576
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1515864
—
TN
05
—
3085455
—
TN
05
—
3085458
—
TN
01
—
3144340
BLUE CROSS BLUE SHIELD
TN
01
—
P00233186
RAILROAD MEDICARE
TN
01
—
P00418596
RR MEDICARE
TN
Enumeration date
06/22/2005
Last updated
03/03/2026
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